Page 116 - Cover Letter & Evaluation for David Steenburgen

12/7/2017 Your Medicare Health Plan Details

MEDICINE NAME QUANTITY FREQUENCY & GENERIC OPTIONS ACTION
PHARMACY
Change dose Add
AMLODIPINE BESYLATE TAB 5MG 30 Every 1 Month Already Generic Remove
Retail Pharmacy

Change dose Add

QUINAPRIL HCL TAB 40MG 30 Every 1 Month Already Generic Remove
Retail Pharmacy

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